| NPI | 1326454521 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX T0224) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 305831) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: LA PGY.202574) | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2022-05-10 |